BROADWAY CHURCH OF CHRIST (NPI# 1427061001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427061001 |
| Entity Type | Organization |
| Organization Name | BROADWAY CHURCH OF CHRIST |
| Other Organization Name | CHRISTIAN COUNSELING CENTER |
| Practice Address |
2820 Jefferson St Paducah KY 42001 |
| Mailing Address |
Po Box 8211 Paducah KY 42002 |
| Practice Telephone | 2704425738 |
| Practice Fax Number | 2704423172 |
| Mailing Telephone | 2704425738 |
| Mailing Fax Number | 2704423172 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | ROGER DALE THOMPSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2704425738 |
| Authorized Official Credential | MS LMFT QMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Christian Counseling Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Broadway Church of Christ Inc. | 152 E Riverside Dr, Timberville, Virginia 22853-9644 |
| Street Address |
2820 JEFFERSON ST |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409758 | Kimberly Faye Rowe | Counselor | 2820 Jefferson St, Paducah, KY 42001-4170 | 2019-07-16 |
| 1346756459 | Ccc of Western Kentucky | Counselor | 2820 Jefferson St, Paducah, KY 42001-4170 | 2017-12-27 |
| 1477832186 | Justin Paul Lewis | Marriage & Family Therapist | 2820 Jefferson St, Paducah, KY 42001-4170 | 2011-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791140 | Bhg Lviii, LLC | Clinic/Center | 2705 Olivet Church Road, Paducah, KY 42001-9755 | 2020-02-11 |
| 1447707062 | New Start Counseling, LLC | Clinic/Center | 718 Leiberman St, Paducah, KY 42003-0121 | 2016-09-01 |
| 1982027199 | Bhg Xxxiii, LLC | Clinic/Center | 2705 Olivet Church Rd, Paducah, KY 42001-9755 | 2014-01-23 |
| 1588000673 | Emily Clime | Clinic/Center | 3722 Ramona Dr, Paducah, KY 42001-5240 | 2013-05-15 |
| 1184951253 | Leta Jeanette Norman | Clinic/Center | 216 Berger Rd, Paducah, KY 42003-4522 | 2009-11-11 |
| 1932362688 | Dr. Kristy Kilcoyne LLC | Clinic/Center | 1700 Kentucky Ave, Suite 106, Paducah, KY 42003-7705 | 2008-07-02 |
| 1285797118 | Brandy M Nolan | Clinic/Center | 6201 Benton Rd, Paducah, KY 42003-1304 | 2006-12-19 |
| 1154740249 | Kate Turner | Clinic/Center | 425 Broadway St, Suite 201, Paducah, KY 42001-0713 | 2014-04-16 |
| 1518382068 | Shelby Peek | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2014-02-20 |
| 1144657388 | Danielle Walton | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2013-10-02 |
| Find all providers in PADUCAH | ||||
Please comment or provide details below to improve the information on BROADWAY CHURCH OF CHRIST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.